About this trial
The study will compare two forms of advice regarding physical activity for patients hospitalized with cirrhosis that are preparing for leaving the hospital. One arm consists of current standard of care: simple oral advice on exercise. One arm instead gives patients a structured but simple paper template on physical activity.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Liver cirrhosis diagnosed with previous clinical assessment and radiology (de-formed liver, noduli, varices, collaterals, splenomegaly >12 cm) or with biopsy (fibrosis grade 4). ICD-code K70.3, K74.6.
MELD < 25
Understanding the Swedish language.
Signed informed consent.
Disqualifiers
Performance status ≥3.
Severe pain which prevents the patient to perform the physical activities, as judged by the attending physician at time of discharge.
Previously liver transplanted
Unlikely to be compliant to follow-up (living in other parts of Sweden), as judged by the attending physician at time of discharge.
Trial design
Parallel
Treatments tested in this trial
Standard of Care advice on physical activity
BehavioralOral advice on exercise from a physician.
Structured advice on physical activity
BehavioralA leaflet with instructions and images on different forms of physical activities as well as clear recommendations on when to perform these.
Treatment groups
Trial outcomes
Primary outcomes
Change in quality of life summary score, as measured with the CLDQ tool
Change in quality of life, as measured with the CLDQ tool (gives a summary score between 1-7, a higher score suggests a better quality of life).
Secondary outcomes
Frailty
Frailty as measured with the Liver Frailty Index.
MELD
Model of End-stage Liver Disease score (range 6-40, a higher score indicates a worse prognosis)
Mortality
Overall mortality
Sponsors and contacts
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Karolinska University Hospital
Lead sponsor
Karolinska Institutet
Collaborator